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The City of Hope Medical Campus Resilient Healing Landscape Master Plan is a proposed, campus-wide framework for turning a 116-acre cancer-treatment and biomedical-research campus in Duarte, California, into therapeutic, climate-responsive infrastructure. Rather than adding a few ornamental courtyards, the plan connects clinical destinations, prescribed walking routes, family spaces, sensory gardens, shade, stormwater systems and habitat.
The 2026 American Society of Landscape Architects (ASLA) award entry describes ambitious targets, including an integrated 19.5-mile path network, 875 new trees and a 30 percent increase in canopy. Those figures are plan targets or projected outcomes, not proof that every element has been built or post-occupancy tested. Existing gardens remain available subject to changing access rules.
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What is the City of Hope resilient healing landscape plan?
HKLA’s landscape master plan treats landscape as healthcare infrastructure. Its central idea is that movement between appointments, time outdoors, family visits and contact with nature can be deliberately designed to support recovery and resilience. The plan organizes that work through four linked pathways—Body, Mind, Soul and Environment—rather than treating circulation, recreation, planting and stormwater as separate projects.
The campus is governed by a broader, approximately 20-year City of Hope Specific Plan adopted by Duarte in October 2018 and covering the Duarte and Irwindale portions of the medical campus. The City of Irwindale’s campus-plan page and Duarte’s adopted specific plan establish the policy context for future buildings, grounds, infrastructure and landscape work.
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In the project statement, ASLA and HKLA describe the intent succinctly: “Landscape is repositioned as performance-based healthcare infrastructure supporting recovery, climate resilience, and equitable access.” That description matters for construction teams because it implies measurable outcomes—distance, shade, canopy, water performance and habitat—not simply a visual landscape scheme.
What problem is the campus trying to solve?
The master plan starts with an organizational problem. Existing open space and circulation were not consistently connected to clinical care, patient movement or ecological function. HKLA reports 3.6 miles of concrete sidewalks used mainly as transit space, more than one acre of lawn beside sidewalks, 4,600 largely unshaded parking stalls and outdoor areas disconnected from one another.
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| Plan figure | What it represents | Status to read |
|---|---|---|
| 116 acres | City of Hope medical and research campus described in the ASLA/HKLA entry | Project area |
| 19.5 miles | Campus paths proposed as an integrated healing network | Plan target |
| 875 trees | New trees identified in the landscape proposal | Plan target |
| 30 percent | Proposed expansion of tree canopy | Projected outcome |
| Eight tons annually | Airborne pollutants the proposal projects removing | Projected outcome |
| Approximately two metric tons | Carbon the proposal projects sequestering | Projected outcome |
The figures come from the 2026 ASLA professional-award entry. They should not be presented as a completed construction inventory unless City of Hope or HKLA publishes an implementation record confirming that status.
How do the Body, Mind, Soul and Environment pathways work?
The four-part framework gives different users different ways to benefit from the same campus landscape. The parts overlap: a shaded walking loop can support physical conditioning, reduce heat exposure and provide a quiet place to regulate stress.
Body: prescribed movement rather than incidental walking
The Body network uses physician-prescribed routes calibrated by distance, duration and exertion. It includes three half-mile loops, two one-mile loops and one 1.5-mile loop. That menu allows a care team to match a route to a patient’s current capacity and increase distance gradually without sending the person away from the campus.
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Resistance and flexibility zones add places for yoga, tai chi and strength training. For a construction or facilities team, the important distinction is that these are programmed spaces: route length, surface continuity, rest points, grades, lighting, handrails and wayfinding all become part of the therapeutic specification. The plan does not establish a universal exercise prescription; clinicians would still determine what is appropriate for an individual.
Mind: sensory regulation and orientation
Five sensory pathways use the 5-4-3-2-1 grounding method, directing attention to counted sights, tactile sensations, sounds, smells and taste. Reflexology paths, framed views and deliberately varied sensory conditions are intended to help address anxiety, fatigue and emotional stress.
These routes also have a wayfinding role. Repeated visual frames, recognizable planting zones and clear transitions can help patients and visitors understand where they are without relying on a sign at every decision point. Materials should therefore be selected for predictable footing and maintenance as well as appearance; a sensory path that becomes uneven, slippery or difficult to navigate would undermine its therapeutic purpose.
Soul: reflection, forest bathing and community
Soul spaces provide forest-bathing zones, restorative settings and places for reflection. The program includes contemplative areas for patients and caregivers as well as community gathering spaces intended to welcome families and neighboring communities. This is broader than a quiet garden: it recognizes that emotional and spiritual support may require privacy at one moment and shared presence at another.
City of Hope’s healing-space guide reproduces the campus credo at the Rose Garden: “There is no profit in curing the body if, in the process, we destroy the soul.” The statement explains why the plan includes spaces that may not have a direct clinical procedure attached to them. They are part of the care environment, even when their value is measured through comfort, dignity and the ability to pause.
Environment: measurable ecological performance
The Environment pathway uses thermal mapping and tree-canopy modeling to locate shade corridors and prioritize areas where heat exposure is greatest. It combines native species, reduced turf, water-wise planting, soil improvement, permeable systems and habitat connectivity.
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That combination links human comfort to site performance. A tree canopy can lower radiant heat along a route; improved soils can support healthier planting and infiltration; permeable surfaces can reduce runoff and contribute to groundwater replenishment goals identified in the Duarte plan. The proposal’s pollutant-removal and carbon-sequestration figures are modeled targets, so future implementation should document the assumptions, planting quantities and maintenance conditions behind them.
How many paths and trees are proposed?
The headline network is 19.5 miles of campus paths, replacing the idea that sidewalks are merely corridors between buildings. Within that network, the Body program specifies six exercise loops: three at 0.5 mile, two at 1 mile and one at 1.5 miles. The proposal also identifies 875 new trees and a 30 percent canopy expansion.
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A free scan shows the junk files, broken settings and background clutter dragging Windows down - then fixes them in one click.Free scan · Windows 10 & 11Those numbers describe different layers of the plan. The 19.5-mile figure is a campus-wide circulation goal; the six loops are a prescribed-movement program; and the tree figures are landscape and climate targets. They should be coordinated in drawings and phasing documents so that a path is not counted as complete if its shade, rest areas, accessible connections or wayfinding are still missing.
Which healing gardens can patients and families visit now?
City of Hope already identifies several healing and meditation spaces, but access and hours can change. Its outpatient guide lists the Japanese Garden; the Ruth and Allen Ziegler International Garden of Meditation in Pioneer Park; the La Kretz House of Hope grounds; the Arthur and Stephanie Blank Interfaith and Meditation Center and Garden; and Garden of Hope. Visitors should confirm current access with City of Hope before planning a visit.
Garden of Hope is described as an inclusive therapeutic teaching garden open to patients, employees, visitors and the wider community. It is volunteer-driven and includes 14 raised vegetable beds within a 3,000-square-foot main garden, along with pollinator planting, hydroponics, vermicomposting, a greenhouse, composting and California-native garden elements.
The garden’s produce is distributed to volunteers, patients, the cafeteria and local food shelters. That distribution turns the garden into a teaching and food-support program as well as a contemplative space. It also demonstrates how a healthcare landscape can connect planting, education, nutrition and community participation without requiring every area to function as a formal treatment garden.
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The current visitor information is in City of Hope’s healing and meditation spaces guide. The guide cautions that garden hours may change, so it is not a substitute for current confirmation from the campus.
Is the resilient healing landscape built yet?
The available material presents the resilient healing landscape as a proposed planning and implementation framework, not as a verified, fully constructed project. The ASLA/HKLA entry does not establish that every loop, tree, canopy percentage, pollution figure or carbon target has been delivered, funded or evaluated after occupancy.
That distinction is essential when communicating with patients, neighbors and project stakeholders. Existing gardens and meditation spaces can be described from City of Hope’s current visitor information. The 19.5-mile network, 875 trees and environmental metrics should be labeled proposed, planned or projected unless a later City of Hope or HKLA construction record confirms completion.
How should owners and construction teams implement the framework?
A useful implementation sequence keeps therapeutic programming and site performance together:
- Map care destinations and constraints. Start with entrances, clinics, research buildings, parking, transit stops, emergency access, utilities and existing trees. Identify where patients already walk and where grades, crossings or heat make movement difficult.
- Set route standards. Draw the half-mile, one-mile and 1.5-mile loops as continuous, accessible circuits. Assign rest points, shade goals, lighting, handrails, surface requirements and clear decision points before selecting finishes.
- Coordinate shade and drainage. Use thermal mapping and canopy modeling to prioritize tree locations, then coordinate root zones, underground utilities, stormwater conveyance and maintenance access. Permeable systems should be detailed with soil profiles and overflow routes rather than treated as a surface-only substitution.
- Build sensory and restorative sequences. Place reflexology materials, framed views, quieter planting rooms and gathering spaces where they do not conflict with emergency routes or service access. Provide options for people who need low stimulation as well as those seeking active social space.
- Specify California-appropriate planting. Native and drought-tolerant species, reduced turf and improved soils support the Duarte plan’s emphasis on ecosystem preservation, water conservation and sustainable development. Plant palettes still need to account for allergies, visibility, irrigation zones, maintenance skill and patient safety.
- Phase without breaking the network. If construction occurs in packages, each phase should leave a usable route to care destinations and a functioning place to rest. Temporary detours should preserve accessibility and explain distance changes so a prescribed loop remains meaningful.
- Document performance after installation. Record installed trees, canopy growth, irrigation demand, stormwater behavior, route availability and maintenance conditions. A post-occupancy record is needed to distinguish a design target from an achieved result.
How can this plan be evaluated against another healthcare landscape?
Four questions provide a practical comparison framework. First, are therapeutic programs integrated with everyday circulation and reachable by patients, caregivers and families, or are they isolated destination gardens? Second, does the project measure movement and wayfinding through route lengths, exertion options and accessible connections?
Third, does it set explicit performance targets for shade, water, habitat and heat mitigation? Fourth, who governs phasing, maintenance and evaluation, and how are results reported over time? The City of Hope proposal is distinctive because it combines prescribed walking distances, sensory programming and ecological metrics in one campus framework, while the 20-year specific-plan context provides a basis for coordinating future buildings and infrastructure.
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What does the plan mean for drought, heat and groundwater recharge?
The proposal addresses drought and heat through water-wise planting, reduced turf, native species, expanded canopy and permeable systems. Thermal mapping helps locate shade where people experience the greatest heat burden, while soil improvement and infiltration-oriented details can support groundwater-replenishment objectives in the adopted Duarte plan.
These measures are not interchangeable. More trees do not automatically solve irrigation demand; permeable paving does not perform without suitable subgrade, maintenance and overflow design; and a native plant palette still requires establishment watering. The plan’s value is in treating those decisions as one performance system tied to human routes and ecological connectivity.
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Healthcare campuses often add buildings faster than they reorganize the spaces between them. A landscape master plan of this kind makes those interstitial spaces part of the project brief. Walks, shade, sensory cues, food production, habitat and stormwater become coordinated scope rather than decorative extras.
For owners, the approach offers a way to connect capital planning with patient experience and climate commitments. For designers and contractors, it raises the coordination standard: route geometry, tree protection, soil volumes, irrigation, drainage, accessibility, lighting and maintenance must be resolved together. For patients and families, the intended result is a campus where the trip between destinations can also provide movement, orientation, respite and connection to nature.
Frequently Asked Questions
How can a patient find out whether a City of Hope garden is open today?
Garden access and hours can change. Check the current City of Hope outpatient guide, then confirm with the relevant clinic or campus information desk before traveling, especially if mobility assistance or a quiet visiting time is needed.
Who decides which walking loop is appropriate for a patient?
The plan describes routes that can be prescribed by distance, duration and exertion, so the treating physician or rehabilitation professional would make the individual recommendation. A loop length is not a substitute for a clinical assessment, and construction documents should preserve shorter alternatives and rest opportunities.
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What evidence would show that the landscape targets were achieved?
A credible follow-up record would separate installed work from projections: tree counts and canopy surveys, route maps showing accessible continuity, shade or thermal measurements, irrigation and stormwater data, and documented maintenance conditions. Without that post-occupancy information, the published figures remain design targets.
Why include a teaching and food garden on a cancer-treatment campus?
Garden of Hope combines horticultural education, volunteer participation, pollinator and native planting, and food production. Its produce reaches patients, the cafeteria, volunteers and local food shelters, giving the landscape a community and nutrition role in addition to therapeutic and contemplative use.
